Shanon Robert Ray D.C

NPI 1164603833 - Chiropractor - 111N00000X

NPI Details
NPI 1164603833
Gender Male
Enumeration Date 11/21/2007
Last Updated 11/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
418 DEMERS AVE
EAST GRAND FORKS MN, 56721-1836, US
Phone (218) 773-8403
Fax (218) 773-9812
Business Location
418 DEMERS AVE
EAST GRAND FORKS MN, 56721-1836, US
Phone (218) 773-8403
Fax (218) 773-9812
Toxanomy
Taxonomy Code 111N00000X
License State Minnesota
License Number 3582
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According to our database, Dr. Shanon Robert Ray D.C NPI is 1164603833, taxonomy code is 111N00000X and license number is 3582, license state is located at Minnesota. Shanon Robert Ray D.C physically located at 418 Demers Ave, East Grand Forks MN, 56721-1836. NPI Number Shanon Robert Ray D.C has the Individual type.

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1164603833 NPI number is provided on an as is basis without warranty of any kind. 1164603833 is maintained by the National Plan & Provider Enumeration System. The contents of Shanon Robert Ray D.C are for informational purposes only.